Organization · Type 2 NPI
La Maestra Family Clinic, Inc.
Federally Qualified Health Center (FQHC) · San Diego, CA
NPI number
1265831960
Active
Practice location
4171 Fairmount Ave
San Diego, CA 92105-1609
Mailing address
4060 Fairmount Ave
San Diego, CA 92105-1608
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Federally Qualified Health Center (FQHC) Primary | 261QF0400X | 090000378 (CA) |
Federally Qualified Health Center (FQHC): Definition to come...
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About NPI 1265831960
La Maestra Family Clinic, Inc.'s National Provider Identifier is 1265831960, issued on Aug 19, 2014. The primary taxonomy on file is Federally Qualified Health Center (FQHC) (261QF0400X), and the practice location is in San Diego, CA. The record was last updated on Aug 19, 2014.